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Mobilising the next generation: strategies to foster the engagement of young general practitioners

Naji MOKADDEM, Elodie ROUSSEAU, Lorraine CHAAR and Charles ROLAND

General practice in French-speaking Belgium currently stands at a crossroads. While the profession once developed in a context of “oversupply,” it is now confronted with the ageing of its workforce. According to the Belgian Federal Health Care Knowledge Centre, in 2000, 24.1% of practising general practitioners were aged 55 or older, compared with 44.3% in 2018. This ageing trend is all the more concerning as it coincides with insufficient renewal of the workforce. The numerus clausus, introduced in 1997, significantly restricted access to medical training and, although quotas have recently been increased, the shortfall persists. In 2024, a 40.7% under-quota of graduates in general practice was observed in the French Community, whereas the Planning Commission targeted 50%. This shortage of young physicians is accompanied by a generational imbalance within representative bodies: a 2021 survey reported that 70% of positions in French-speaking general practice institutions were held by physicians over 40 years old. Taken together, these data point to a clear conclusion: the capacity of French-speaking general practice to represent itself is under threat. In this context, stimulating and supporting the involvement of young general practitioners in the representative institutions of their profession is critical. Such mobilisation is essential to ensure continuity in professional governance and to guarantee that the general practice of tomorrow is shaped by those who will constitute it.To identify barriers and enablers to young GPs’ involvement in representative bodies and to propose concrete actions to strengthen their engagement.A workshop at the 2025 Belgian College of General Practice congress invited participants to identify facilitators, barriers, and actions to enhance young physicians’ participation in representative bodies.The workshop brought together 24 participants with substantial age diversity. The collected data are currently undergoing qualitative analysis. The preliminary analysis suggests that the engagement of young physicians cannot rely solely on individual willingness but requires a supportive and inclusive ecosystem.XSupporting the engagement of young general practitioners is not only a matter of ensuring the renewal of representative bodies, but also of safeguarding a professional governance that is legitimate, sustainable, and aligned with the contemporary realities of medical practice.